Section 1557 of the Affordable Care Act

Notice of Nondiscrimination and Accessibility

Ascend Mind and Body is committed to providing equal access to care for every patient. This notice explains your civil rights, the language and accessibility services available to you at no cost, and how to file a complaint if you believe you have been treated unfairly.

Effective: 2026-05-22 · Last reviewed: 2026-05-22

01

Our nondiscrimination commitment

Ascend Mind and Body complies with applicable federal civil rights laws, including Section 1557 of the Affordable Care Act and its implementing regulations at 45 CFR Part 92. We do not exclude people from, or treat them differently in, any of our programs, services, or activities on the basis of:

  • Race
  • Color
  • National origin, including limited English proficiency and primary language
  • Age
  • Disability, including physical, mental, or sensory disability
  • Sex, including pregnancy and related conditions, sexual orientation, gender identity, sex characteristics (including intersex traits), and sex stereotypes
  • Religion

This commitment applies to every patient interaction at every Ascend office and every telehealth visit. It applies to scheduling, intake, clinical care, billing, medical records, communications, and patient feedback. It applies whether you call us, walk into a lobby, send a message through a portal, or join a HIPAA-secure video visit.

02

Accessibility and auxiliary aids

Ascend Mind and Body provides reasonable modifications and free auxiliary aids and services to people with disabilities so they have an equal opportunity to benefit from our care. These services are provided free of charge and in a timely manner.

Available auxiliary aids and services include, but are not limited to:

  • Qualified sign language interpreters
  • Written information in alternative formats, such as large print, accessible electronic formats, audio, or other formats
  • Real-time captioning
  • Assistive listening devices
  • Materials in plain language when requested

To request an auxiliary aid or a reasonable modification, please call (813) 670-3005 or email privacy@ascendmb.com before your appointment when possible, so we can arrange the service in advance.

For website accessibility specifically, see our Accessibility Statement.

03

Free language assistance services

Ascend Mind and Body provides free language assistance services to people whose primary language is not English and to people with limited English proficiency. These services include qualified interpreters and written information in your primary language when feasible.

If you need language assistance, call (813) 670-3005 and tell us the language you speak. We will arrange a qualified interpreter at no cost to you.

Taglines in the 15 most common non-English languages in Florida

  • Español: Hay servicios de asistencia lingüística disponibles de forma gratuita. Llame al (813) 670-3005.
  • Kreyòl Ayisyen: Sèvis asistans lengwistik disponib gratis. Rele (813) 670-3005.
  • Português: Serviços de assistência linguística estão disponíveis gratuitamente. Ligue para (813) 670-3005.
  • Français: Des services d'assistance linguistique sont disponibles gratuitement. Appelez le (813) 670-3005.
  • Tagalog: May mga libreng serbisyo ng tulong sa wika. Tumawag sa (813) 670-3005.
  • Tiếng Việt: Có dịch vụ hỗ trợ ngôn ngữ miễn phí. Gọi (813) 670-3005.
  • 中文 (Mandarin): 提供免费语言协助服务。请致电 (813) 670-3005。
  • Italiano: Sono disponibili gratuitamente servizi di assistenza linguistica. Chiamare il (813) 670-3005.
  • Deutsch: Sprachunterstützungsdienste sind kostenlos verfügbar. Rufen Sie (813) 670-3005 an.
  • Русский: Услуги языковой поддержки доступны бесплатно. Звоните (813) 670-3005.
  • العربية: خدمات المساعدة اللغوية متاحة مجاناً. اتصل بالرقم 670-3005 (813).
  • 한국어: 무료 언어 지원 서비스를 이용하실 수 있습니다. (813) 670-3005로 전화하십시오.
  • Polski: Bezpłatne usługi pomocy językowej są dostępne. Zadzwoń pod numer (813) 670-3005.
  • 日本語: 言語サポートサービスを無料でご利用いただけます。(813) 670-3005 までお電話ください。
  • ગુજરાતી: ભાષા સહાય સેવાઓ વિના મૂલ્યે ઉપલબ્ધ છે. (813) 670-3005 પર કૉલ કરો.
04

How to request language or accessibility services

You can request a qualified interpreter, an auxiliary aid, a reasonable modification, or written information in an alternative format using any of the methods below. Requests are free, and we will not ask you to bring your own interpreter.

Three ways to request services:

By phone: Call (813) 670-3005 Monday through Friday, 8:30 AM to 5:00 PM. Leave a voicemail after hours and a care coordinator will return your call the next business day.

By email: Write to privacy@ascendmb.com. Please include your full name, preferred language or accessibility need, your appointment date if known, and the best way to reach you.

In person or by mail: Ascend Mind and Body, 27724 Cashford Circle, Suite 102, Wesley Chapel, FL 33544.

Whenever possible, please make your request at least 48 hours before your appointment so we can arrange the service in advance. We will still do our best to accommodate urgent requests.

05

Section 1557 Civil Rights Coordinator

Ascend Mind and Body has designated a Section 1557 Civil Rights Coordinator who is responsible for coordinating our compliance with Section 1557 and 45 CFR Part 92, including investigating any complaints of discrimination.

Section 1557 Civil Rights Coordinator

Name: [NEEDED: Civil Rights Coordinator name]

Phone: (813) 670-3005

Email: [NEEDED: coordinator email]

Mailing address: Section 1557 Coordinator, Ascend Mind and Body, 27724 Cashford Circle, Suite 102, Wesley Chapel, FL 33544

You may contact the Coordinator if you believe you have been discriminated against on the basis of race, color, national origin, age, disability, sex, or religion, or if you need help filing a grievance.

06

How to file a grievance

Internal grievance

If you believe Ascend Mind and Body has discriminated against you, you may file a grievance with our Section 1557 Civil Rights Coordinator. You may file in person, by mail, by phone, or by email using the contact information in Section 05 above.

Please include:

  • Your name and contact information
  • A description of what happened, who was involved, and when
  • The basis you believe the discrimination occurred on (for example: race, age, disability, sex, language)
  • What you would like Ascend to do about it

We will acknowledge receipt of your grievance, investigate it promptly, and respond to you in writing. If you need help filling out the grievance form, the Coordinator will assist you. You will not face retaliation for filing a grievance in good faith.

External complaint with the U.S. Department of Health and Human Services

You also have the right to file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights (OCR). You may file with OCR at the same time you file with us, or instead of filing with us.

Office for Civil Rights, U.S. Department of Health and Human Services

Online: ocrportal.hhs.gov/ocr/smartscreen/main.jsf

Phone: 1-800-368-1019

TDD: 1-800-537-7697

Mail: U.S. Department of Health and Human Services, 200 Independence Avenue SW, Room 509F, HHH Building, Washington, DC 20201

Complaint forms are available at hhs.gov/ocr/filing-with-ocr.

Effective date: 2026-05-22

Last reviewed: 2026-05-22

Authority: Section 1557 of the Patient Protection and Affordable Care Act (42 U.S.C. 18116) and its implementing regulations at 45 CFR Part 92, including 92.10 (notice requirements), 92.11 (nondiscrimination statement), and 92.7 (designation of responsible employee and grievance procedure).

Ascend Mind and Body reserves the right to revise this notice. Material revisions will be posted on this page with a new effective date.